Individual
MRS. KRYSTYNA HALINA CAPOCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
18 KIMBER CT, EAST NORTHPORT, NY 11731-1331
(631) 757-9131
Mailing address
18 KIMBER CT, EAST NORTHPORT, NY 11731-1331
(631) 757-9131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
510010-1
NY
363L00000X
Nurse Practitioner
Primary
F336253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02384572
—
NY
Enumeration date
04/24/2009
Last updated
01/24/2013
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